Journal of Emergency Medicine最新文献_第4页

American Academy of Emergency Medicine 美国急诊医学学会

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2024-08-01 DOI: 10.1016/S0736-4679(24)00225-7

引用次数: 0

Anoxic Brain Injury: A Subtle and Often Overlooked Finding in Non-Fatal Intimate Partner Strangulation. 缺氧性脑损伤：非致命性亲密伴侣勒杀中一个微妙且常被忽视的发现。

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2024-06-25 DOI: 10.1016/j.jemermed.2024.06.006

Sean Dugan, Michelle Patch, Taman Hoang, Jocelyn C Anderson

{"title":"Anoxic Brain Injury: A Subtle and Often Overlooked Finding in Non-Fatal Intimate Partner Strangulation.","authors":"Sean Dugan, Michelle Patch, Taman Hoang, Jocelyn C Anderson","doi":"10.1016/j.jemermed.2024.06.006","DOIUrl":"https://doi.org/10.1016/j.jemermed.2024.06.006","url":null,"abstract":"<p><strong>Background: </strong>A paucity of literature exists dedicated to the identification of anoxic brain injury in patients that survive non-fatal intimate partner strangulation (NF-IPS). While some individuals report experiencing symptoms of brain hypoxia followed by a loss of consciousness, other individuals report symptoms of brain hypoxia prior to amnesia, rendering some unable to recall loss of consciousness (LOC).</p><p><strong>Objective: </strong>Using a standardized clinical assessment tool, the purpose of this retrospective analysis is to describe anoxic brain injury symptom prevalence in a sample of patients reporting NF-IPS.</p><p><strong>Methods: </strong>One hundred and ninety-one unique patients, reporting a total of 267 strangulation events, were assessed by a member of the Shasta Community Forensic Care Team utilizing the Strangulation Hypoxia Anoxia Symptom TBI Assessment (SHASTA) tool. The sample is 98% female and includes adult patients ages 18-68. Examination records were categorized based on the presence or absence of hypoxia and anoxia symptoms. This manuscript utilizes the STROBE checklist.</p><p><strong>Results: </strong>Amnesia was reported in 145 of the 267 strangulations (54.3%). Of those, 74 reported LOC (51.0%) while 71 did not recall LOC (49.0%).</p><p><strong>Conclusions: </strong>Within our sample, 49% of patients with amnesia did not recall losing consciousness, demonstrating that LOC is an imperfect measure of anoxia for patients following NF-IPS. Healthcare providers examining NF-IPS patients should inquire about additional symptoms of hypoxia and amnesia, which can be captured on the SHASTA tool.</p>","PeriodicalId":16085,"journal":{"name":"Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Parasite Living Beneath the Conjunctiva. 生活在结膜下的寄生虫

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2024-06-25 DOI: 10.1016/j.jemermed.2024.05.014

Mark Curato, Anfei Li

引用次数: 0

Comment on Modified PECS II Block for Axillary Hidradenitis Suppurativa 关于治疗腋窝化脓性扁桃体炎的改良 PECS II 阻滞的评论

IF 1.5 4区医学

Journal of Emergency Medicine Pub Date : 2024-06-14 DOI: 10.1016/j.jemermed.2024.03.007

Michael Shalaby MD , Raghav Sahni DO

引用次数: 0

Response to Comment on Cryoneurolysis of Intercostal Nerve for Rib Trauma and Intercostal Neuralgia in the Emergency Department 对 "急诊科肋骨外伤和肋间神经痛的肋间神经冷冻术 "评论的回应

IF 1.5 4区医学

Journal of Emergency Medicine Pub Date : 2024-06-14 DOI: 10.1016/j.jemermed.2024.02.005

Mani Hashemi MD , S.M. Mahmood MD , Jorge Fernandez MD , IV John J. Finneran MD , Jessica Oswald MD, MPH

引用次数: 0

Modified PECS II Block for Axillary Hidradenitis Suppurativa 治疗腋窝化脓性扁桃体炎的改良 PECS II 阻滞疗法

IF 1.5 4区医学

Journal of Emergency Medicine Pub Date : 2024-06-14 DOI: 10.1016/j.jemermed.2024.02.013

Amiya Kumar Barik DM , Anju Gupta MD , Chitta Ranjan Mohanty MD , Rakesh Vadakkethil Radhakrishnan MSN

引用次数: 0

American Academy of Emergency Medicine 美国急诊医学学会

IF 1.5 4区医学

Journal of Emergency Medicine Pub Date : 2024-06-14 DOI: 10.1016/S0736-4679(24)00209-9

引用次数: 0

A Spinal Tap Does Not Require Skin Markings 脊柱穿刺不需要皮肤标记

IF 1.5 4区医学

Journal of Emergency Medicine Pub Date : 2024-06-14 DOI: 10.1016/j.jemermed.2024.02.009

Peyton J. Ware BS , Emmanuelle C. Issa BS , Paula Bitange BA , Garrett J. Cooper BS , Victoria Galea MD , Deena I. Bengiamin MD , Timothy P. Young MD

引用次数: 0

Beirut Port Blast 2020: New Lessons Learned in Mass Casualty Incident Management in the Emergency Department 2020 年贝鲁特港口爆炸事件：急诊科处理大规模伤亡事件的新经验

IF 1.5 4区医学

Journal of Emergency Medicine Pub Date : 2024-06-14 DOI: 10.1016/j.jemermed.2024.03.006

Evan Avraham Alpert MD , Ahmed Nama MD , Daniel Trotzky MD, MHA , Tzachi Slutsky MD , Betzalel E. Reich MD , J. Ari Greenwald MD , Barry Hahn MD , Joseph Offenbacher MD

引用次数: 0

Emergency Department Screening and Interventions for Adolescents With Substance Use: A Narrative Review 急诊科对青少年药物使用的筛查和干预：叙述性综述

IF 1.2 4区医学

Journal of Emergency Medicine Pub Date : 2024-06-10 DOI: 10.1016/j.jemermed.2024.05.012

{"title":"Emergency Department Screening and Interventions for Adolescents With Substance Use: A Narrative Review","authors":"","doi":"10.1016/j.jemermed.2024.05.012","DOIUrl":"10.1016/j.jemermed.2024.05.012","url":null,"abstract":"<div><h3>Background</h3><p>Adolescent substance use is a growing public health concern, particularly given rising mortality rates from drug overdose deaths. The emergency department (ED) provides a unique opportunity to screen adolescents for substance use and provide brief interventions and linkage to care.</p></div><div><h3>Objective of the Review</h3><p>This article provides a narrative review of the current evidence for ED screening and brief interventions for adolescents with substance use and identifies important opportunities, challenges, and areas for future research.</p></div><div><h3>Discussion</h3><p>There are several validated substance use screening and assessment tools for use with adolescents that can be implemented into ED screening programs. Brief motivational interviewing interventions may reduce alcohol use, but evidence for reductions of other substances is limited due to insufficient research. Both screening and interventions are feasible and acceptable in the ED setting with the appropriate resources. Increased training and the use of emerging technology can provide emergency physicians with opportunities to incorporate these tools into practice to when treating adolescents. Linkage to outpatient care for adolescents with substance use is understudied. The research on adult patient ED interventions and linkage to care is more robust and can provide insights for future ED studies among adolescents.</p></div><div><h3>Conclusion</h3><p>ED-based adolescent substance use screening and interventions are necessary, feasible, and acceptable, but understudied. Future studies, focusing on optimizing ED interventions and linkage to care, are important next steps in determining the best care for adolescents with substance use who present to the ED.</p></div>","PeriodicalId":16085,"journal":{"name":"Journal of Emergency Medicine","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141390087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0